Individual provider Active NPI

Elizabeth Anne Yuneman, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Middle Village, NY
National Provider Identifier
1568779569
Registry record updated Sep 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020272-1 Issued in NY
Practice address
5823 81St St
Middle Village, NY 11379-5328
Phone
(718) 478-8089
NPI assigned
Sep 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 020272-1 NY Primary

Addresses

Primary practice location

5823 81St St
Middle Village, NY 11379-5328

Mailing address

5823 81St St
Middle Village, NY 11379-5328
Phone (718) 478-8089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
020272-1NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284249600000",
    "number": "1568779569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 81ST ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795328",
            "telephone_number": "718-478-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 81ST ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795328",
            "telephone_number": "718-478-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNEMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020272-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.